Note: You will need to save the down loaded PDF form onto your computer before opening it in Adobe Reader. I cannot guarantee that all the facilities will work if you complete the form in a browser as many do not fully support PDF functionality.

Please note that part of the screening questionnaire was externally validated for INPP. A score of 7 or more on specific questions (asterisked) confirms a 98% probability of retention of Primitive Reflexes. Retention of Primitive Reflexes being the primary cause of neuro-developmental delay.